【摘要】 目的：观察针刺联合刮痧治疗痰瘀阻窍型后循环缺血（Posterior Circulation Ischemia,PCI）性眩晕的临床疗效。方法：选取2019年11月-2020年10月就诊于秦皇岛市中医医院脑病一科的痰瘀阻窍型PCI性眩晕患者60例，随机分为对照组与治疗组各30例，对照组给予西药甲磺酸倍他司汀片治疗，治疗组给予针刺联合刮痧治疗，比较两组的中医证候评分、中医单项证候评分、椎基底动脉的血流速度。结果：治疗组中医证候及中医单项证候评分低于对照组，差异具有统计学意义（P <0.05）；治疗后两组椎基底动脉血流动力学均有改善，但治疗组优于对照组，差异具有统计学意义（P <0.05）；治疗组总有效率高于对照组，差异具有统计学意义（P <0.05）。结论：在痰瘀阻窍型PCI性眩晕的患者中应用针刺联合刮痧进行治疗，可提高临床疗效。更多还原

【Abstract】 Objective: To observe the clinical efficacy of acupuncture plus scraping on PCI vertigo with phlegm and blood stasis blocking orifices. Methods: From November 2019 to October 2020, patients with posterior circulation ischemic vertigo of phlegm and blood stasis obstructing orifices type were randomly divided into the control group and the treatment group, and 30 cases in each group. The control group was treated with betahistine mesylate, while the treatment group was treated by acupuncture plus scraping.The TCM syndrome score, TCM single syndrome score and blood flow velocity of vertebrobasilar artery in the two groups were compared. Results: The TCM syndrome score and TCM single syndrome score in the treatment group were lower than the control group, and the differences were statistically significant(P<0.05); after treatment, the hemodynamics of vertebrobasilar artery in both groups were improved, but in the treatment group was better than the control group, and the difference was statistically significant(P<0.05); the total effective rate in the treatment group was higher than that in the control group(P<0.05). Conclusion: Acupuncture plus scraping can improve the clinical efficacy on posterior circulation ischemic vertigo of phlegm stasis obstructing orifices type.更多还原